Frontal_Image_Path
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation. There is no effusion or edema. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Aortic stent graft identified in the abdomen. No acute osseous abnormalities.
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<unk>-year-old male with hyperglycemia. question pneumonia.
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Ap and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Left chest wall dual pacing device is again seen with tips in the right atrium and right ventricular apex. No acute osseous abnormality is identified.
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<unk>-year-old female with altered mental status.
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As compared to the previous radiograph, there is no relevant change. The left-sided central venous access line has been removed, the right port-a-cath persists. There is no evidence of focal parenchymal opacity suggesting pneumonia. Normal size of the cardiac silhouette. No pleural effusions. Azygos lobe as normal variant. Bilateral axillary clips, status post shoulder surgery on the right.
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status post stem cell transplant, evaluation for pneumonia.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear, and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Minimal loss of height of a mid thoracic vertebral body is unchanged.
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chest pain.
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The tunneled central venous catheter is unchanged in position and terminates in the right atrium. Unchanged appearance of biapical scarring. The lungs are free of focal consolidations, pleural effusions or pneumothorax. Cardiomediastinal silhouette is within normal limits.
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<unk> year old woman with mds // fever, cough. assess for abnormality.
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Frontal and lateral views of the chest were obtained. Low lung volumes results in bronchovascular crowding. Mild opacity at the lung bases likely represents atelectasis, but early or developing pneumonia cannot be excluded in the appropriate clinical setting. There is no pneumothorax. A small left effusion cannot be excluded. Pulmonary edema has improved with mild residual pulmonary vascular congestion. Cardiac and mediastinal silhouette hilar contours are normal allowing for low lung volumes. A nonspecific <num>cm nodule is seen at the right apex and could be related to infection or prior edema. The prior cta does not include the lung apices to evaluate this.
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asthma exacerbation.
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There is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. Minimal atelectasis is present in the lung bases. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette remains mildly enlarged. The aortic knob is calcified. The thoracic aorta is slightly tortuous. The mediastinal and hilar contours are otherwise within normal limits. The osseous structures are diffusely demineralized with multilevel degenerative changes in the thoracic spine as well as generalized loss of height of several mid and lower thoracic vertebral bodies, similar to the prior study.
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cough with sputum production for the past seven days, here to evaluate for pneumonia.
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The lungs are hyperinflated. Linear left basilar opacities most likely atelectasis. There is no confluent consolidation or effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities identified.
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<unk>m with doe/sob, inc <unk> edema. // r/o pna/pulm edema
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Ap and lateral views of the chest provided. Left pacemaker and lead are in stable position. Lung base opacity best seen on the lateral view is concerning for pneumonia. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.
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<unk> year old man with diffuse wheeze, cough // r/o infiltrate
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The cardiomediastinal silhouettes appear stable. The bilateral hila are within normal limits. Mild hyperinflation, best appreciated on lateral view, again suggests underlying copd, though this is less apparent than on prior study. The lungs are clear without evidence of focal airspace abnormality. There is no evidence of pulmonary vascular congestion. There is no evidence of pneumothorax or effusion. There is mild levoscoliosis of the upper thoracic spine.
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a <unk>-year-old man with fever and cough, evaluate for pneumonia or other acute cardiopulmonary process.
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A <num> mm round opacity projecting over the right lower lobe may be the patient's nipple, although a pulmonary nodule is not entirely excluded. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
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fevers for the past week.
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
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history: <unk>f with worsening creatinine, infectious w/u. // pna?
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Heart size remains mildly enlarged. Atherosclerotic calcifications are noted at the aortic knob. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Calcified nodule in the left upper lobe and calcified left hilar lymph nodes are compatible prior granulomas disease. Right lower lobe mass appears grossly unchanged compared to the most recent pet-ct from <unk>. No new focal consolidation, pleural effusion or pneumothorax is identified. Previously described ground-glass opacity in the right lower lobe and nodule in the left upper lobe seen on pet-ct are not well visualized on the current radiograph. Hypertrophic changes are again seen in the thoracic spine. Gastric lap band is in similar position.
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history: <unk>f with headache, sle and rle weakness
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Chronic pleural thickening and/or fluid at the right base laterally and posteriorly are similar to the prior study. No new focal airspace opacity is detected. The lungs are normally expanded. The cardiomediastinal silhouette and hilar contours are normal. There is no left pleural effusion or pneumothorax. Gallbladder stones project over the right lower quadrant but are better evaluated on ct of the abdomen and pelvis from <unk>.
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shortness of breath and recent inhaled chemical exposure. evaluate for pneumonitis.
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Small right-sided pleural effusion with fluid along the minor fissure is again seen. The adjacent surrounding atelectasis/opacity has improved. There is a possible tiny apical right pneumothorax. There is a stable small left pleural effusion. The left lung is otherwise clear. The cardiac silhouette is nonenlarged.
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<unk> year old woman with mpe s/p thoracentesis. // ?ptx
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
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chest pain. evaluate for acute process.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
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<unk> year old man with dyspnea // dyspnea
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation, or pneumothorax. Minimal perihilar vascular congestion is noted. There is no pulmonary edema. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is mild blunting of the right cardiophrenic angle, suggestive of pericardial fat pad, lymph node, or tiny morgagni hernia, stable for at least one year. Partially imaged upper abdomen is unremarkable. Right lower lobe density seen on <unk> exam has resolved.
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slurred speech. assess for pneumonia.
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Biapical scarring is noted. Linear opacity at the left lung base is most suggestive of atelectasis and likely scarring. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>m with chest pain // eval for pneumothorax
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Hyperexpansion and elevation of the left hemidiaphragm are unchanged from prior studies. A left pectoral pacemaker and its leads project in unchanged location. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is stable. Multiple with thoracic compression fractures are noted with radiodensity in the upper lumbar spine consistent with prior vertebroplasty.
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<unk>f with mild crackles at bilateral lung bases, evaluate for pneumonia or pleural effusion.
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The lungs are well expanded. Compared with the prior examination there has been interval resolution of multiple left lung opacities and significant improvement of right lower lobe opacities. However there is a residual small opacity overlying the right hemidiaphragm. No new opacities are identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
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<unk>-year-old male with nausea and vomiting and chest congestion. evaluate for pneumonia.
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
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stem cell transplant, on immunosuppression, now with cough and low-grade fever.
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An nodule in the left upper lobe appears unchanged compared to the prior chest radiograph and has been previously evaluated with chest ct and pet-ct. No new focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is chronic disk space narrowing in the thoracic spine.
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history: <unk>f with acute ams // acute process
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>m with cp // r/o acute process
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax.
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<unk> year old man with persistent cough, green sputum. r/o pna. // ? any abn?
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The right-sided mediastinal mass is again visualized. Right chest tube is been removed. There is a small right inferior pneumothorax. There is an <num> mm opacity that projects over the left first rib anteriorly. This was not present on the prior studies and is felt to be bony in the etiology. The left lung is clear
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<unk> year old woman with mediastinal mass s/p r vats biopsy mediastinal mass // eval for interval change
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Frontal and lateral views of the chest demonstrate low lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
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patient with ms flare.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with sob and cough, pls eval for pna
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. There is moderate dextroscoliosis centered about the lower thoracic spine.
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cough shortness of breath.
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. There is minimal atelectasis of the right middle lobe. The cardiomediastinal silhouette is stable. The bones are intact.
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history of cough, evaluate for pneumonia.
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Right-sided port-a-cath is unchanged terminating in the low svc. Mediastinal contours, hila, and cardiac borders are normal. Lung volumes are low with left lower lobe atelectasis. No pneumothorax or pleural effusion.
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<unk> year old woman with left chest pain with inspiration // ? infection
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Interval resolution of left lower lobe opacity. New focal opacity projecting over the intersection of the <unk> posterior and <unk> anterior right ribs. No pneumothorax or pleural effusion. Heart size, mediastinal contour and hila are normal. No bony abnormality.
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<unk>-year-old male with abnormal chest radiograph on <unk>. assess for resolution of prior finding.
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The lungs are clear of focal consolidation. Cardiomediastinal silhouette is within normal limits. There is apparent enlargement of right hilum which could be due to underlying enlargement of the pulmonary artery or underlying adenopathy. No acute osseous abnormalities identified, hypertrophic changes are noted spine and degenerative changes at the acromioclavicular joints.
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<unk>m with sob and cp // eval pneumonia, chf
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The cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. There is no pulmonary vascular congestion. The lungs are clear without focal consolidation. There is no pneumothorax or pleural effusion.
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<unk>m with leukocytosis, cough, please evaluate for edema.
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The heart is again mild to moderately enlarged. Perihilar opacities in addition to a mild generalized interstitial abnormality are most consistent with mild pulmonary edema. Confirmatory is the presence <unk> <unk> b type lines at both lung bases, better seen in the right costophrenic angle than left. There is no definite pleural effusion or pneumothorax.
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shortness of breath.
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The lungs are hyperinflated, which can be seen with chronic obstructive pulmonary disease. There appears to be blunting of the left costophrenic angle on the lateral view which could be due to pleural thickening or trace pleural effusion. No focal consolidation is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with l sided chest pain // pna?
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Massive herniation of gastrointestinal contact through the diaphragm, with according projection of the structures in the retrocardiac lung area. Normal lung volumes. Minimal pleural scar at the right lung bases, projecting over the right costophrenic sinus. Borderline size of the cardiac silhouette without evidence of pulmonary edema. No acute pulmonary changes. No pneumothorax. No pleural effusion. Normal hilar and mediastinal contours.
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questionable intrathoracic process.
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Pa and lateral chest radiographs. Basilar opacity overlies the lower spine on the lateral view. There is also some indistinctness in the right lung base on the frontal view. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
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<unk> year old man with <num> weeks history of productive cough // rule out pneumonia or other acute process
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with fevers // confirm picc placement, also r/o infection
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Frontal and lateral radiographs of the chest demonstrate well-expanded, clear lungs. Mild cardiomegaly is stable. Pacer leads are again seen extending to the right atrium and apex of the right ventricle with an additional lead in the region of the coronary sinus. There is no pneumothorax or pleural effusion.
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<unk>-year-old man status post upgrade to biventricular pacer. evaluate for lead placement.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Clips in the right upper quadrant of the abdomen indicate prior cholecystectomy.
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history: <unk>f with syncope
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In comparison with the study of <unk>, the left hemidiaphragm can now be visualized, possibly because of the change in patient position. There is substantial opacification involving the left lower lobe, consistent with pneumonia. The right lung and upper portion of the left lung are clear. Central catheter remains in place.
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pneumonia, to assess for change.
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Mild cardiomegaly is unchanged. Mediastinal contours normal. Haziness at the left lung base likely due to a large epicardial fat pad, unchanged. The crescentic region of scarring in the left upper lobe has varied slightly in appearance between chest radiographs, but is long-standing. There are no radiographic findings of pneumonia or pulmonary edema. There is no pleural effusion or pneumothorax.
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<unk>f with dyspnea, evaluate for aspiration pneumonia area.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There are no pleural effusions or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
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chest pain and syncope.
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Cardiomediastinal contours are stable with mild cardiomegaly. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
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<unk> year old woman with mds // pre bmt eval
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In comparison with study of <unk>, there is little overall change. Enlargement of the cardiac silhouette persists, especially in the region of the grafted thoracic aorta. Extensive pleural thickening or effusion is again seen along the left lateral chest wall. No definite pneumothorax is appreciated.
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chest tube removal.
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Pa and lateral views of the chest. There is a slightly more confluent opacity in the right lower lobe best seen on the frontal radiograph that could represent early pneumonia. Otherwise the lungs appears grossly clear. There is no pleural effusion or pneumothorax. The heart is mildly enlarged. The mediastinal and hilar contours are normal.
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cough, evaluate for infiltrate.
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As compared to the previous radiograph, no relevant changes seen. Old rib fractures. Moderate overinflation but no evidence of acute lung disease. Normal size of the cardiac silhouette. No pulmonary edema.
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past pneumonia. positive ppd. evaluation.
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The patient is rotated somewhat to the right. There are areas of minor right mid to lower lung atelectasis/scarring. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta is calcified. The cardiac silhouette is top-normal. Air is seen within bowel beneath the right hemidiaphragm. Degenerative changes at the right than the humeral joint are again partially imaged. There are also degenerative changes at the right acromioclavicular joint. No definite acute fracture is seen.
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fall, weakness.
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Moderate cardiomegaly has been stable compared to exams dated back to at least <unk>. The hilar and mediastinal contours are normal. Redemonstrated is a large left goiter with rightward deviation of the trachea, unchanged compared to the prior exam. There is no large pleural effusion or pneumothorax. Mild bibasilar atelectasis is persistent.
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history of ataxia and nausea. please evaluate for pneumonia.
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The heart is normal in size. The mediastinal and hilar contours are unremarkable aside from streaky right suprahilar opacity most suggestive of minor atelectasis. There is no pleural effusion or pneumothorax. The lungs appear otherwise clear. Bony structures are unremarkable.
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tachycardia and chest pain.
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Frontal and lateral views of the chest were obtained. The patient is status post cabg with sternotomy wires and mediastinal clips that are intact and in similar position to <unk>. Right ij central line terminates in the low svc. New left uppe zone ill-defined opacity may represent atelectasis, but infection or aspiration cannot be excluded in the appropriate clinical stetting. Bilateral pleural effusions, left greater than right are similar to prior. Cardiomediastinal silhouette is stable.
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<unk>-year-old male status post cabg. evaluate for pleural effusions.
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Compared to prior exam from the lung volumes are low, which exaggerates the heart size and interstitial opacities. Heart size is upper limits of normal. Mild increased and bilateral interstitial basal opacities, especially on the left are likely due to atelectasis. Pleural margin on the right apex is thicker than left, which may be due to scarring. Mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax.
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<unk> year old woman with left lower lobe crackles/cough. evaluate for pneumonia.
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There is minimal linear atelectasis or scar in the left costophrenic angle laterally but the lungs are otherwise clear and the heart and mediastinal contours and bony structures are unremarkable.
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history: <unk>f with sob, cough // r/o pneumonia
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As compared to the previous radiograph, two left-sided chest tubes are in unchanged position. Unchanged level of the fluid in the left hemithorax and unchanged areas of atelectasis at the left lung base. Unchanged appearance of the cardiac silhouette, unchanged normal appearance of the right lung.
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status post left vats procedure. evaluation of interval change.
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Postsurgical cardiomediastinal silhouette and hilar contours are unchanged. Moderate cardiomegaly is unchanged, accentuated by very low lung volumes. There is associated bibasilar atelectasis. Lungs are otherwise clear without focal consolidation. There is no definite pleural effusion or pneumothorax. Median sternotomy wires are intact. Several cabg clips are re- demonstrated. The bones are diffusely osteopenic.
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altered mental status.
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The heart size is normal. No configurational abnormality is present. Thoracic aorta unremarkable for age. There is a sizable hiatal hernia in retrocardiac position surrounded by a few linear densities most likely representing compression atelectases. This is more marked on the right side than the left. There exists some mild blunting of the right lateral pleural sinus, but as both posterior pleural sinuses are free on the lateral view, there is no evidence of any remaining significant free fluid. No evidence of pneumothorax exists in the apical area on either side. Remarkable is, however, a nodular density in the right apical area medially and probably located in the anterior mediastinum but poorly delineated on the lateral view. In addition, there exists a few unexplained parenchymal densities in the right mid lung field probably in anterior position. The described and not completely explained pulmonary abnormalities may have been diagnosed already on previous evaluation, but as they are not available for direct comparison, the performance of a chest ct might be indicated to better characterize the described abnormalities.
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<unk>-year-old female patient with new right effusion, status post thoracocentesis with <unk> cc removed, evaluate for pneumothorax and residual fluid.
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Mild left apical pleural thickening. Normal cardiomediastinal and hilar contours. Normal pleural surfaces. Fully expanded, clear lungs. No pulmonary vascular congestion, acute pneumonia, pleural effusion, or pneumothorax.
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<unk>-year-old woman with a history of copd, now with persistent cough. evaluate for chf exacerbation, copd exacerbation, or pneumonia.
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Pa and lateral views of the chest provided. A calcified nodule projects over the left mid lung, stable likely representing a granuloma. An azygous fissure is noted. Lungs are clear and hyperinflated. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with c/o sob and cough // ? pna
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
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cough.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. There is blunting of the right costophrenic angle, likely due to a focal pleural pleural abnormality, extending into the lateral aspect of the horizontal fissure. The heart is top normal in size, and the cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pulmonary edema. No focal airspace consolidation is identified.
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<unk>-year-old female with shortness of breath. evaluation for cardiomegaly, pneumothorax, or consolidation.
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As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation. There is no evidence of pleural effusions or focal parenchymal opacity suggesting pneumonia. No pulmonary edema. Borderline size of the cardiac silhouette. Mild tortuosity of the thoracic aorta.
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aml, overnight fever, evaluation for pneumonia.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Cortical thickening in the right clavicle likely represents old fracture.
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<unk>-year-old female with chest pressure. evaluate for cardiopulmonary process.
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Chest, ap and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
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<unk>-year-old woman with weakness and nausea, vomiting. evaluate for acute process.
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As compared to the previous radiograph, the lung volumes have increased, likely due to improved inspiration. There currently is no evidence for the presence of parenchymal opacities suggestive of pneumonia. No pleural effusions. No pulmonary edema. No pneumothorax. The hilar and mediastinal contours are unremarkable. Moderate scoliosis with asymmetry of the rib cage is again noted.
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hepatitis, recurrent fevers, evaluation for infection.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. New small opacity in the right middle lobe is consistent with infection. The lungs are otherwise clear other than background emphysema. No pleural effusion or pneumothorax. Chronic right rib deformities are stable.
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chronic diarrhea with productive cough.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
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chest pain.
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Mild cardiomegaly is unchanged compared to the prior exams dated back to <unk>. There is mild pulmonary vascular congestion, otherwise the hilar and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Redemonstrated are hyperinflated lungs with an enlarged retrosternal air space, consistent with copd. Subtle opacity at the right lung base may represent pneumonia. The visualized osseous structures are unremarkable.
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history: <unk>f with sob // ?pna
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Ap view of the chest. Ap and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiac silhouette is within normal limits for technique. No acute osseous abnormality is identified.
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<unk>-year-old female with hypertension and diabetes with lethargy and weakness.
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Pa and lateral views the chest provided. Pectus excavatum deformity of the sternum and spinal hardware noted. Lung volumes are low. Allowing for this the lungs are clear. Cardiomediastinal silhouette is stable. No acute osseous abnormality.
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<unk>m with s/p l mesh for flank hernia. back pain and chest pain.
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Compared to the previous radiograph, there is no relevant change. Area of atelectasis at the right lung base. No evidence of recent pneumonia. No pleural effusions, both the on frontal and the lateral radiograph. The costophrenic sinuses are well expanded. Normal size of the cardiac silhouette. Minimal tortuosity of the thoracic aorta. No hilar or mediastinal abnormalities.
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dizziness, recurrent high fevers, evaluation for pneumonia.
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Ap and lateral views of the chest. The lung volumes are seen. That said, there increased bibasilar opacities. There is no large pleural effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
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<unk>-year-old male with seizures. question pneumonia.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.incidental note of a prominent small bowel loop in the left upper quadrant.
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<unk>m with chest pain. eval for pneumothorax.
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Pa and lateral views of the chest provided. Double density shadow over the aortic arch is related to known saccular pseudoaneurysm. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with a-fib, aaa, dm p/w chest pain sob w/out fevers
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In comparison with the study of <unk>, the patient has taken a better inspiration, though there are still low lung volumes. There is a tiny left apical pneumothorax. The upper mediastinum appears within normal limits. Atelectatic changes are again seen bilaterally, more prominent on the left with blunting of both costophrenic angles.
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post-operative cabg.
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Lung volumes are low. Bibasilar linear opacities likely represent atelectasis. There is mild pulmonary vascular prominence, which may be exaggerated by low lung volumes. Likely calcified nodule seen in the left upper lung. Heart and mediastinal contours are difficult to evaluate in the setting of low lung volumes. No pleural effusion or pneumothorax is detected.
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<unk>-year-old female with agitation.
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There has been interval removal of a right-sided chest tube since prior radiographs on <unk>. There is no change in a small right apical pneumothorax. There is mild right pleural fluid and thickening, unchanged. There is subcutaneous emphysema seen on the lateral view. A left-sided port-a-cath is unchanged in position.
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<unk>f c stage iiia rul nsclc rul s/p induction chemoradiotherapy, now s/p open rul lobectomy // please obtain at <time> am, eval for interval change s/p chest tube removal
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Heart size and mediastinal contours are within normal limits. Lungs are hyperinflated. There is no focal consolidation or pleural effusion. There is no pneumothorax. Contour deformity of the sternum is new and represents a subacute fracture.
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<unk> year old woman with sternal pain after car accident // fracture, change in heart.
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The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal. No displaced fractures identified.
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<unk>m with r sided anterior chest wall pain // ? acute intrathoracic process
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Pa and lateral radiographs of the chest are provided. The lungs are clear. Aside from aortic tortuosity, the hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. Kyphoscoliosis of the thoracic spine is noted.
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<unk>-year-old woman with sudden onset vertigo. evaluate for consolidation or effusion.
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Pa and lateral views of the chest provided. Cardiomegaly is noted with hilar congestion and mild to moderate pulmonary interstitial edema. There is a small layering right pleural effusion. No convincing signs of pneumonia. No pneumothorax. Bony structures appear intact. High riding right humeral head reflect chronic rotator cuff disease.
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<unk>f with ams // eval for consolidation
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
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history: <unk>m with chest pain. evaluate for pneumonia or pneumothorax.
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Pa and lateral views of the chest were viewed. The cardiac silhouette remains moderately enlarged. Mediastinal and hilar contours are unchanged with severe enlargement of the main pulmonary artery. There is no pneumothorax. A fluid collection in the left lung base projects posteriorly on the lateral view and is new since the prior study. Consolidation in the superior segment of the left lower lobe is also new. Surgical clips projecting over the right mid lung zone may relate to overlying breast tissue.
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pain after recent thoracoscopy for left lower lobe malignancy with pain at the surgical site.
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A left pectoral port-a-cath tip terminates in the low svc. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is stable. Surgical clips project over the central upper abdomen.
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<unk>m with <unk> pancreatic cancer left sided headache, neck pain, arm pain, ?weakness, evaluate for acute process.
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Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected.
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shortness of breath technique portable.
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There is small left pleural effusion. Blunting of the right costophrenic angle may be secondary to scarring or small pleural effusion. No focal consolidation or pneumothorax is seen. Heart size is top normal. Mediastinal contours are within normal limits with mild aortic tortuosity.
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<unk>-year-old female with shortness of breath.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is quite tortuous ; mild aortic arch dilatation is difficult to exclude. No pulmonary edema is seen. Single lead right-sided pacer device, lead terminates in the expected location of the right ventricle.
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history: <unk>m with l sided facial droop and slurred speech , concern for ischemia // history: <unk>m with l sided facial droop and slurred speech , concern for ischemia
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Clips from prior cholecystectomy are seen in the right upper quadrant of the abdomen.
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history: <unk>f with chills and productive cough
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As compared to the previous radiograph, there is evidence of a mild bilateral, right more than left, pleural effusions with subsequent areas of atelectasis at both the left and the right lung bases. These changes, however, might be emphasized by lower lung volumes, likely caused by a lesser inspiratory effort. Mild retrocardiac atelectasis. Known left lung calcifications. No evidence of pneumonia. No pneumothorax.
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stage iv non-small-cell lung cancer, evaluation.
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Pa and lateral views of the chest provided. Left chest wall pacer device is again seen with leads extending into the region the right atrium and right ventricle. Midline sternotomy wires and mediastinal clips are again noted. Mild cardiomegaly is again noted. There is no focal consolidation, large effusion or pneumothorax. There is mild hilar congestion without frank edema. Mediastinal contour appears normal. Bony structures are intact.
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<unk>f with chf presenting with intermittent cp, weight gain, sob and dizziness // pulmonary edema
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The inspiratory lung volumes are decreased with resultant accentuation of bronchovascular structures. The lungs are otherwise clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
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<unk>-year-old woman with couigh,fever // r/o acute process
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A moderate right pleural effusion is unchanged. There is a new small left pleural effusion. Prominent interstitial markings increased artery-to-bronchial ratios are compatible with mild pulmonary edema. Mild cardiomegaly despite the projection is unchanged. Metallic anchors at the right humeral head denote prior rotator cuff repair. The bones are markedly osteopenic.
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<unk> year old woman with new hypoxia // r/u effusion, pneumonia
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No acute cardiopulmonary process. Distended loops of small bowel seen in the upper abdomen with air-fluid levels. No free intraperitoneal air. Abdominal imaging suggested as clinically warranted.
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<unk>m with abd pain // eval free air
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As compared to the previous radiograph, the patient has received a double-lumen right-sided dialysis catheter. The catheter shows a normal course, the tip projects over the right atrium. There is no evidence of pneumothorax or other complications. Unchanged in appearance and size is a known intrafissural right-sided pleural effusion. No evidence of tb or other lung infection. No pulmonary edema. Mild cardiomegaly with tortuosity of the thoracic aorta.
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positive ppd.
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Left chest wall vagal nerve stimulator is again noted. Where seen, the lungs are clear. There is no consolidation, effusion, or edema. Calcified mediastinal lymph nodes are again noted. No acute osseous abnormalities. Surgical clips in the upper abdomen suggest prior cholecystectomy. Chronic changes of distal right clavicle however likely posttraumatic.
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<unk>f with sob // eval pneumonia
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Frontal and lateral chest radiographs were obtained. There is interval improvement in the previous opacities in the right upper and mid lung zones. A small area of opacification remains in the right upper lobe. There is now a hyperlucent zone at the right lung base, but no evidence of pneumothorax. A small right pleural effusion has developed with associated compressive basilar atelectasis. The left lung is fully expanded and clear. Cardiomediastinal silhouette and hilar contours are stable. A dobbhoff tube terminates in the first part of the duodenum. It is looped twice in the fundus of the stomach.
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patient with history of cirrhosis and ascites, now with diminished breath sounds. evaluate intrathoracic abnormalities.
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Heart size is borderline enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are visualized.
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gunshot to left hand, congestion and chest pain.
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There is no significant interval change compared with previous radiograph from <unk>. The lungs are well inflated and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Old rib fractures are seen in the right.
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<unk>-year-old male with transient hypoxia. evaluate for acute process.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
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<unk>f with fatigue and increased seizures. evaluate for pneumonia.
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Pa and lateral views of the chest. No prior. There is a moderate-to-large right-sided pleural effusion. There is also likely right middle and lower lobe atelectasis. Linear opacity at the left lung base suggestive of atelectasis and there is suggestion of left apical calcified granulomas, but there is no confluent consolidation or left effusion. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are seen in the spine. Surgical clips in the right upper quadrant suggest prior cholecystectomy. Osseous and soft tissue structures are otherwise unremarkable.
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<unk>-year-old female with productive cough.
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